NPI | 1962970939 |
---|---|
Former Name | JENNIFER SHUMILOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95027614) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 412369) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH 024214) | |
Enumeration Date | 2018-11-08 |
Last Update Date | 2024-01-02 |